Empowering native adolescents: Responsibility for their health behaviors

R. Chambers*, D. Hautala, A. Kenney, S. Rosenstock, M. Begay, N. Neault, L. Nelson, R. Reid, J. Richards, N. Goklish, H. van de Mheen, A. Barlow, M. Wallis

*Corresponding author for this work

Research output: Contribution to journalArticleScientificpeer-review

Abstract

Objectives:
In this study, we assess the impact of a home-based diabetes prevention program, Together on Diabetes (TOD), on adolescent responsibility-taking for tasks related to diabetes risk.

Methods:
Participants were Native American youth ages 10-19 with or at risk of type 2 diabetes who participated in a 12-session, 6-month diabetes prevention program with an adult caretaker. Assessments completed at baseline, 6-month, and 12-month follow-up include demographics and the Diabetes and Obesity Task Sharing (DOTS) Questionnaire. We used latent class analysis (LCA) at baseline to examine heterogeneity in DOTS responses. We identified 3 classes (adolescent, shared, caretaker). We used latent transition analysis to examine stability and change in latent status at baseline, 6- and 12-month follow-up.

Results:
At baseline, the mean age of participants was 13.6 years and 55.9% were boys. From baseline to 6-month follow-up, the adolescent class was most stable, whereas the shared and caretaker classes were less stable. For participants who transition from the adolescent class, most transition to shared class compared to caretaker class.

Conclusions:
TOD helps to empower Native American adolescents to take responsibility for their health and engage with their caregivers in these decisions.
Original languageEnglish
Pages (from-to)3-16
JournalAmerican Journal of Behavioral Health
Volume45
Issue number1
DOIs
Publication statusPublished - 2021

Keywords

  • AUTONOMY
  • CHILDREN
  • DIABETES PREVENTION
  • IMPACT
  • INSULIN
  • MANAGEMENT PROGRAM
  • Native Americans
  • OBESITY
  • OVERWEIGHT
  • TYPE-1
  • YOUTH EMPOWERMENT
  • adolescent health
  • diabetes
  • health promotion
  • obesity

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